Kristal Gillette

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

317799 Issued in NY

Practice address

81 Fernhill Ave
Buffalo, NY 14215-3127

Phone

(678) 548-9034

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1811423734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 FERNHILL AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 FERNHILL AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153127",
            "telephone_number": "678-548-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLETTE",
        "first_name": "KRISTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "317799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manavjot Kaur Gill
• Natasha Gill, MD
• Patricia Gill, NP
• Praneet Singh Gill, M.B.B.S.
• John Arthur Gillespie, M.D.
• Jala Nicole Gilliam, DPT, PT
• Kayla Gilliam
• John Joseph Gillick, PH.D.
• Kathryn Gillies, NP
• Colleen Gilliland

• Licensed Practical Nurse in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.